1
St. Louis Audit of Fall Risks – Revised July 2011
Foreman Name______Address______Visit #______Date______
Type □ single □ 2-3 family □ 4+ family Cycle Time ______# in Crew ______# Jman/App______Time______Auditor______
Stage of Construction □ ground breaking/ layout □ foundation □ floor joist installation □ framing 1st story □ framing floor 2/3
□ roof sheathing □ window/door setting □ roof truss installation □ exterior finish/siding □ other______
General Safety Climate & Housekeeping / Comments1. All workers wear hard hats / YES / NO
2. All workers wear safety glasses or other form of eye protection / YES / NO
3. Pathways & access points are free of materials, debris & projectile hazards / YES / NO
Walking/Working Surfaces over 6’ from lower level Phase Observed: YES (score category) NO (don’t score)
4. Holes >6’ above lower levels are covered or guarded; a hole is a gap >2” in a
pathway commonly accessed / YES / NO / NA
5. Stairwell has sturdy handrail on at least one side that can withstand 200# force / YES / NO / NA
6. When working >6’ above lower level, conventional fall protection is used at
all walking/working surfaces & wall openings with bottom edge < 39” / YES / NO / NA
Floor Joist Installation/Floor Sheathing over 6’ from lower level Phase Observed: YES (score category) NO (don’t score)
7. Conventional fall protection used (Score conventional fall protection items)
Circle method(s) observed for floor joist/sheath: PFAS Nets Guardrails / YES / NO / If no, items 8-12 must be scored
8. Fall restraint system used; including harness or body belt, anchor able to
support twice potential load, lanyard short enough to prevent any fall / YES / NO / NA
9. Floor joists are laid out/set/secured from ladder, ground, scaffold; not beam/top
plate / YES / NO / NA
10. 1st sheet of sub-floor installed from ground, ladder or scaffold; not from
joist / YES / NO / NA
11. Workers install subsequent sheathing from established deck platform or
piece of sheathing laid over secured joists; not standing on joists / YES / NO / NA
12. Only workers that are laying out/installing are within 6’ of leading edge / YES / NO / NA
Exterior Wall Lay out/Building/Erection over 6’ from lower level Phase Observed: YES (score category) NO (don’t score)
13. Conventional fall protection used (Score conventional fall protection items)
Circle method(s) observed for ext wall erect: PFAS Nets Guardrails / YES / NO / If no, items 14-16 must be scored.
14. Fall restraint system used; including harness or body belt, anchor able to
support twice potential load, lanyard short enough to prevent any fall / YES / NO / NA
15. Edges where walls are being laid out/built/erected are clearly marked with
painted line 6’ from edge / YES / NO / NA
16. Materials are stored, cut and prepared outside perimeter of this 6’ line / YES / NO / NA
Truss Lay out/Setting Phase Observed: YES (score category) NO (don’t score)
17. Conventional fall protection used (Score conventional fall protection items)
Circle method(s) observed for truss set: PFAS Nets Guardrails / YES / NO
18. Fall restraint system used; including harness or body belt, anchor able to
support twice potential load, lanyard short enough to prevent any fall / YES / NO / NA
19. Prepares & lays out trusses from subfloor/ladder/scaffold; not top plate / YES / NO / NA
20. For walls up to 8’, trusses installed from ladder or scaffold along interior
wall / YES / NO / NA
21. First 2 trusses are set from ladder leaned on supportive side walls or from
scaffold; not any top plate / YES / NO / NA
22. For walls >8’, common trusses are set and secured from ladder, scaffold,
ridge seat, standing platform or interior top plate using stable truss for
support; not standing on exterior top plate / YES / NO / NA
Roof Sheathing Phase Observed: YES (score category) NO (don’t score)
23. Conventional fall protection used (Score conventional fall protection items)
Circle method(s) observed for roof sheath: PFAS Nets Guardrails / YES / NO
24. Fall restraint system used; including harness or body belt, anchor able to
support twice potential load, lanyard short enough to prevent any fall / YES / NO / NA
25. Bottom row of roof sheathing installed from truss web, ladder, scaffold / YES / NO / NA
26. Workers install slide guard on 1st row of sheathing before installing next
row / YES / NO / NA
27. Slide guard are 2 x 4 boards, bottom guard perpendicular to sheathing / YES / NO / NA
28. Slide guard intervals: pitch up to 9 in 12 at 13’ intervals, >9 in 12 at 4’
intervals / YES / NO / NA
29. Slide guards are installed across full width of the roof & on all sides of roof,
including overhangs / YES / NO / NA
Ladders Observed: YES (score items for ladder type seen) NO (don’t score)
30. Straight, free of cracks / broken parts, free of mud / ice, side locks on step
ladder / YES / NO / NA
31. Set up on level and solid base, securely set at the bottom / YES / NO / NA
32. Extension & job-built ladders are secured at the top in appropriate manner / YES / NO / NA
33. Step ladders that are being used by workers are fully opened & side locks
engaged, not leaned on structure like straight ladder / YES / NO / NA
34. Extension & job-built ladders are set at correct angle of 1:4 ratio (palms of
hands reach side rails if toes at base) / YES / NO / NA
35. Extension & job-built ladders extend 3’ past upper landing surface / YES / NO / NA
36. Workers do not work from top 3 rungs of extension & job-built ladders; and
workers do not work from top platform or top step of step ladder / YES / NO / NA
37. Workers maintain 3 points of contact while climbing ladders & do not carry
supplies while climbing ladder / YES / NO / NA
38. Workers always keep belt buckle within ladder side rails & both feet on
ladder while working / YES / NO / NA
39. Workers drag excess mud off of shoes before climbing ladder / YES / NO / NA
Scaffolds Observed: YES (score items for scaffold type seen) NO (don’t score)
40. All Scaffolds: Fall protection used if walk plank > 10’ from lower level
(Score conventional fall protection items)
Circle method(s) observed for roof sheath: PFAS Nets Guardrails / YES / NO
41. Ladder Jack: Ladders are safely secured at both the top & bottom / YES / NO / NA
42. Ladder Jack: Maximum height is 20’ / YES / NO / NA
43. Ladder Jack: Walk board is 12” wide / YES / NO / NA
44. Ladder Jack: 3rd ladder present to access if walk board outside of ladders / YES / NO / NA
45. Ladder Jack: If access ladder is present, it extends 3’ above walk board / YES / NO / NA
46. Pump Jack: Set on secure / stable base / YES / NO / NA
47. Pump Jack: 4 x 4 posts are properly braced & secured to building / YES / NO / NA
48. Pump Jack: Maximum height is 50’ / YES / NO / NA
49. Hanging Scaffold/Wall Walker: Bracket is adjusted to fit top plate of wall
and secured in place by nail or spreader bar / YES / NO / NA
50. Hanging Scaffold/Wall Walker: Walk board is greater than 38” from top
plate and secured to scaffold / YES / NO / NA
51. Job-Built: Platform is secure & stable / YES / NO / NA
52. Job-Built: Platform is 18” wide / YES / NO / NA
Conventional Fall Protection Score 53, 57, 59 at all sites, other items if yes scored
PFAS / 53. Personal Fall Arrest System observed in use at this site / YES / NO
54. Workers wearing fall arrest use approved harness that is worn properly / YES / NO / NA
55. Lanyard is attached to secure anchorage point that appears capable of
withstand 5,000# of force / YES / NO / NA
56. Lanyard is short enough to prevent worker from hitting the lower
level / YES / NO / NA
Nets / 57. Safety nets observed in use at this site / YES / NO
58. Nets are installed as close as possible under walking/working surface
with sufficient clearance to prevent worker from hitting lower level / YES / NO / NA
Guardrails / 59. Guardrails observed in use at this site / YES / NO
60. Guardrails protecting floor openings are constructed sturdily (200#
force) with 2 x 4’s, top rail 42”, mid-rail 21” / YES / NO / NA
61. Guardrails protecting wall openings are constructed sturdily (200# force)
with 2 X 4’s, top rail 42”, mid-rail or lower wall at 21” from ground / YES / NO / NA
Alternative fall protection Score for areas >6’ where conventional fall protection not used
62. Areas with openings >6’ above lower level that are not protected by
conventional fall protection are designated CAZ by a sign, wire, tape, or rope / YES / NO / NA
Is work appropriate for weather? mud – yes/no/na rain – yes/no/na wind – yes/no/na snow – yes/no/na ice – yes/no/na heat – yes/no/na
Assessment of Work Site______
______
New Fall Protection Technology Observed (list & note if appeared to be properly installed)______
______
Foreman Interaction Observed______
______
© 2015, Washington University School of Medicine. All rights reserved. Production of this resource was supported by CPWR-The Center for Construction Research and Training and by Cooperative Agreement OH009762 from the National Institute for Occupational Safety and Health (NIOSH). The contents are solely the responsibility of the authors and do not necessarily represent the official views of CPWR or NIOSH.